Civil Case Cover SheetCal. Super. - 6th Dist.January 5, 2021A oRNEY 0R PARTY WITHOUT ATTORNEYWame, State Bar number, and address) anour Legal Name: hél\%Ava/nt . Your Address: 6 a wag 4? quq-wr' FAX No; elf- epresented TELEPHONE NO, ATTORNEY FOR (Name) #18 Oxmfiagtlggflcg FOR COURT USE ONLY STREET ADDRESS 1 SUPERIOR COURT or CALIFORNIA, cougmr 0F Santa Clara 91 North Fgrst Street MAILING ADDRESS 191 North Fll’st Street San Jose, CA 95113 FILED Clwxfi: :23: Civil Courthouse JAN - 5 2021 K.: . NGUCASE NAME Amt fio l<9+; supgnoglc un o! JJCQSWCMOSELE Clara ‘ CIVIL CASE COVER SHEETm Unlimited D Limited (Amount (Amount demanded demanded is exceeds $25,000) $25,000 or less) Complex Case Designation D Counter D Joinder Filed with first appearance by defendant (Cal. Rules of Court. rule 3.402) cg 4 DEPUTY JUDGE 21°H03’9798 DEPT. Items 1-6 below must be completed (see instructions on page 2). Auto Tort Auto (22) Uninsured motorist (46) Other Pl/PDIWD (Personal lnjurylProperty Asbestos (04) Product liability (24) Other Pl/PDNVD (23) Non-PI/PDIWD (Other) Tort Civil rights (08) Defamation (13) Intellectual property (19) Professional negligence (25) Employment Wrongful termination (36) DamageNVrongful Death) Tort Medical malpractice (45) Business tort/unfair business practice (O7) a Fraud (16) Other non-Pl/PDNVD tort (35) Other employment (1 5) 1. Check one box below for the case type that best describes this case: Contract Breach of contract/warranty (06) Rule 3.740 collections (09) Other collections (09) Insurance coverage (1 8) Other contract (37) Real Property Eminent domain/lnverse condemnation (14) Wrongful eviction (33) Other real propeny (26) Unlawful Detainer a Commercial (31) Residential (32) Drugs (38) Judicial Review Asset forfeiture (05) Petition re: arbitration award (1 1) Writ of mandate (02) Other judicial review (39) Provisionally Complex Civil Litigation Cal. Rules of Court, rules 3.400-3.403) Antitrustffrade regulation (O3) Construction defect (10) Mass tort (40) Securities litigation (28) Environmental/Toxic tort (30) Insurance coverage claims arising from the above listed provisionally complex case types (41) Enforcement of Judgment Enforcement of judgment (20) Miscellaneous Civil Complaint a Rico (27)Other complaint (no! specified above) (42) Miscellaneous Civil Petition Partnership and corporate governance (21) Other petition (no! specified above) (43) 2. This case D is m is not factors requiring exceptional judicial management: a. Large number of separately represented parties b. Extensive motion practice raising difficult or novel e. issues that will be time-consuming to resolve c. D Substantial amount of documentary evidence Remedies sought (check all thatapply): a. D monetary b. Number of causes of action s ecify): This case D is is not@999 Date: l’ 6 ° aoa‘ Mel Av a class action suit. . If there are any known related cases, file and serve a notice of related case.(You may use form CM-015.) \ complex under rule 3.400 of the California Rules of Court. If the case is complex. mark the d. Large number of witnesses Coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court f. Substantial postjudgment judicial supervision nonmonetary; declaratory or injunctive relief c. D punitive in sanctions. other parties to the action or proceeding. o Plaintiff must file this cover sheet with the first paper filed in the action or procee ' under the Probate Code, Family Code. or Welfare and Institutions Code). (Cal. Rule NOTICE o File this cover sheet in addition to any cover sheet required by local court rule. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. \ v Pm1of Fon‘nlAdgtedyor en_datory Use udlaal ounculof alufomua M-o10 Rev. July 1, 2007] _ mum: ESSEIM HIM" CIVIL CASE COVER SHEET Cal Rules of Court rues 2._ _ Cal. Standards of Judi al Administration std, 3.10 www‘oourtmfocagov 30, 3.220, 3400-1403 3.740; CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first pa er, the Civil Case Cover Sheet contained on fiage 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 throug 6 on the sheet. In item 1. you must check one box for the case pe that best describes the case. If the case fits both a general and a more specific type of case listed in item 1. check the more speci c one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party. its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees. arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2 unitive damages, (3) recovery of real property, (4) recovery of ersonal property, or (5) a prejudgment writ of E P attachment. ponsive pleading. A rule 3.740 c e identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the qeneral time-for-service requirements and case management rules, unless a defendant files a res o case will be subject to the requirements for-service and obtaining a judgment ih rule 3.740. lections To Parties in Complex Cases. Ifi com Iex cases bnly. parties must also use the Civil Case Cover Sheet to designate whether the case is complex.'lf a Maintiff believest e case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex. the cover sheet must be served with the complaint on all paflies to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff‘s designation, a counter-designation that the case is not complex. or, if the plaintiff has made no designation. a designation that the case is complex. Auto Tort Auto (22)-Persona| lnjurylPropeIty DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Injury! Property DamageNVrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (no! asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPDIWD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily lnjury/PDNVD (e.g., assault, vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other Pl/PDNVD Non-PIIPDIWD (Other) Ton Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (no! civil harassment) (08) Defamation (e.g., slander, libel) (13) , , , Fraud (16) -- ~ . Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintiff (no! fraud or negligence) Negligent Breach of Contract] Warranty Other Breach of Contract/Warranty Collections (e.g., money owed, open book accounts) (09) Collection Case~Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (not provisionally complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlord/Penant, or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) 'Judicial Review‘ Asset Forfeiture (05) Petition Re: ArUitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims (an'sing from provisionally complex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Certification of Ently of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (nor specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-tort/nomcomplex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Case Matter - - (no! medical or 1993/) ‘_ . . Petgtgon for Name Change Other Non-PI/PD/wo Ton (35) wr'figvtihei; L'm'ted CW" case Pet'tggifmm Rehef "0m Late Employment Other Judicial Review (39) Other Civil Petition Wrongful Termination (36) Review of Health Officer Order Other Employment (1 5) ‘ | Notice of Appeal-Labor . Commissioner Appeals CW“? IReV» July 1- 2°07! whom: , . ' CIVIL CASE CO'VER SHEET "9'1“ 2 >- 85th FIRMS" ~ - "' ' . 1
